Provider Demographics
NPI:1750810479
Name:XYBLG INC.
Entity type:Organization
Organization Name:XYBLG INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:YVETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:BUENO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:210-228-0808
Mailing Address - Street 1:120 N MESQUITE ST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78202-2727
Mailing Address - Country:US
Mailing Address - Phone:210-228-0808
Mailing Address - Fax:210-212-7356
Practice Address - Street 1:120 N MESQUITE ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78202-2727
Practice Address - Country:US
Practice Address - Phone:210-228-0808
Practice Address - Fax:210-212-7356
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)